ROAD BOND APPLICATION

Use this online form to apply for a Road Bond, or other Surety products.

Applicant Telephone Number*

Applicant Email*

1. Contractor*

Contractors Address*

Please fill in the whole address including, Street, Town/City, Post Code and Country

Contractor Ref Number

2. Authority

Authority Requesting Bond

Authority Address

Please fill in the whole address including, Street, Town/City, Post Code and Country

Authority Ref Number

3. What is the description and location of the development

Is development to be phased?

If Yes state the number if phases

4. Type of Bond and Value

Section 38 (£)

Section 104 (£)

Water Article 161 (£)

Other (£)

5. Bond Wording

You must enclose a copy of the Bond Document / Wording provided by the Authority. This will normally also contain a map of the development area to be Bonded

Please attach the Bond Wording (as specified above)

Accepted file types: jpg, pdf, doc, docx, gif.

6. Estimated cost of road /sewer work

Value of Works Un-completed (£)

Value of Works Completed to date (£)

7. The Development

Commencement Date

Completion Date

A) Approximate value of street works which will be completed before building work is commenced (£)

B) Approximate value of street works completed at the date of proposal (£)

C) Total number of dwellings / plots to be erected for the whole development (£)

D) Total number of dwellings / plots to be erected this phase (£)

E) Number of dwellings / plots already sold

F) Number of dwellings built or in course of erection

G) Average selling price per dwelling (£)

H) Range of prices of dwelling (£)

I) Agreed price of any work being sub-let (£)

J) Name and address of Sub Contractors

8. Finance

(Explain how the development is to be financed)

How the development will be financed

9. The Land

Who owns the land being developed?

Is the land subject to any charge?

10. Has a proposal been made to any other surety for this bond?

Has proposal been made?*

If Yes please give name and result

11. Declaration

I declare that the above statements and particulars are true and that ti the best of my knowledge I have not withheld andy information which could materially affect this application. This together with normal credit/financial checks will form the basis of your application. I authorise the Insurers and/or Wallace Insurance Brokers to contact any source to obtain relevant to this application. I understand that the Insurers and/or Wallace Insurance Brokers reserve the right to decline this application without giving a reason.